NPIMap

Organization Active NPI

Life Mastery Center

  • Clinical Social Worker
  • Cockeysville, MD
National Provider Identifier
1942443064
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07844 Issued in MD
Legal business name
LIFE MASTERY CENTER
Practice address
10635 York Rd
Cockeysville, MD 21030-2357
Phone
(410) 628-2121
Fax
(410) 666-7880
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Dean R Kirschner, LCSW-C, PHDNPI 1851332811
Title
Clinical Director
Phone
(410) 628-2121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 07844 MD Primary

Addresses

Primary practice location

10635 York Rd
Cockeysville, MD 21030-2357

Mailing address

10635 York Rd
Cockeysville, MD 21030-2357
Phone (410) 628-2121

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1942443064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 YORK RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302357",
            "telephone_number": "410-628-2121",
            "fax_number": "410-666-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 YORK RD",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302357",
            "telephone_number": "410-628-2121",
            "fax_number": "410-666-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE MASTERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "KIRSCHNER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-628-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-C, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.